Most Relevant Information
Provider Data
NPI Number: | 1003023631 |
Provider Name: | HAYDN BURK POWELL |
Entity Type: | Individual |
Taxonomy Code: | 111N00000X |
Specialty: | Chiropractor |
License Number: | 003881 |
Most Important Dates
Enumeration Date: | 05/16/2007 |
Last Updated: | 08/19/2014 |
Provider Practice Location
803 W HIGHWAY 32
SUITE B
SALEM
MO
655602576
Practice Location Phone/Fax
Phone: | 5737293542 |
Fax: |
Provider Mailing Location
803 HWY 32 WEST
SUITE B
SALEM
MO
65560
Provider Mailing Phone/Fax
Phone: | 5737293542 |
Fax: |